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| Trend in mortality of injury in Jiaxing City from 2010 to 2022 |
| WANG Linhong, XIE Liang, JIN Liu, GAO Hui, YAO Chunyang, HU Jie
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| Jiaxing Center for Disease Control and Prevention, Jiaxing, Zhejiang 314050, China |
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Abstract Objective To investigate the trend in mortality of injury in Jiaxing City, Zhejiang Province, from 2010 to 2022, so as to provide the evidence for developing injury prevention and intervention strategies. Methods Data on injury mortality in Jiaxing City from 2010 to 2022 were obtained from the Jiaxing Chronic Disease Monitoring Information Management System. Crude mortality was calculated, and standardized mortality was computed using data of the Sixth National Population Census in 2010. Descriptive analysis of injury mortality and cause of injury death was conducted by gender and age. The average annual percent change (AAPC) was used to analyze the trend in mortality of injury from 2010 to 2022. Results From 2010 to 2022, the crude injury mortality in Jiaxing City was 79.24/105, and the standardized mortality was 47.08/105. The crude injury mortality was higher in males than in females (80.51/105 vs. 78.01/105, P<0.05). The standardized injury mortality for the total population, males, and females showed significant declining trends (AAPC=-2.011%, -2.373% and -1.542%, all P<0.05). The crude injury mortality increased with age (P<0.05), peaking in the age group of ≥85 years (1 806.46/105). Decreasing trends were observed in the age groups of 0-<15 years, 15-<45 years, and 45-<65 years (AAPC=-7.794%, -4.698% and -4.521%, all P<0.05), while no significant trend was found in the age group of ≥65 years. The top five causes of injury death were falls (29.96/105), motor vehicle traffic accidents (17.81/105), drowning (6.50/105), suicide (5.40/105), and poisoning (0.69/105). Drowning was the leading cause of injury death in the age group of 0-<15 years, while falls were the primary cause in the age group of ≥65 years. Motor vehicle traffic accidents were the top cause of injury death in age groups of 15-<45 years and 45-<65 years. From 2010 to 2022, the standardized mortality of falls showed an upward trend (AAPC=1.094%, P<0.05), while the standardized mortality of motor vehicle traffic accidents, drowning, and suicide demonstrated downward trends (AAPC=-7.576%, -2.745% and -2.786%, all P<0.05). Conclusions The standardized injury mortality in Jiaxing City showed an overall downward trend from 2010 to 2022. Falls were the leading cause of injury death, and particular attention should be paid to the prevention and control of falls among the elderly aged ≥65 years.
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Received: 12 August 2025
Revised: 24 November 2025
Published: 25 December 2025
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[1] 中华人民共和国国家卫生和计划生育委员会,中国国家标准化管理委员会.儿童青少年伤害监测方法:GB/T 31180—2014[S].2015.
National Health and Family Planning Commission of the People's Republic of China,Standardization Administration of the People's Republic of China.Methods for injury surveillance among child and adolescent:GB/T 31180—2014[S].2015.(in Chinese)
[2] JAMES S L,CASTLE C D,DINGELS Z V,et al.Global injury morbidity and mortality from 1990 to 2017:results from the global burden of disease study 2017[J].Inj Prev,2020,26(Suppl. 1):96-114.
[3] World Health Organizaton.Preventing injuries and violence:an overview[M].Geneva:WHO,2022.
[4] 国家卫生健康委统计信息中心,中国疾病预防控制中心慢性非传染病性疾病预防控制中心.中国死因监测数据集2021[M].北京:中国科学技术出版社,2022.
National Health Commission Statistical Information Center,Center for Chronic Noncommunicable Diseases,Chinese Center for Disease Control and Prevention.China cause-of-death surveillance data set 2021[M].Beijing:Science and Technology of China Press,2022.(in Chinese)
[5] 郭丽花,尤柳青,李娜,等.1990—2019年浙江省居民伤害疾病负担及其变化趋势[J].中国慢性病预防与控制,2023,31(12):895-901.
GUO L H,YOU L Q,LI N,et al.The burden of injury in residents of Zhejiang Province from 1990 to 2019[J].Chin J Prev Control Chronic Dis,2023,31(12):895-901.(in Chinese)
[6] 王素贤,蒋帅,赵要军,等.2004—2021年我国居民主要伤害死亡率变化趋势[J].中华疾病控制杂志,2024,28(3):249-255.
WANG S X,JIANG S,ZHAO Y J,et al.The trend of injury mortality rates among Chinese residents from 2004 to 2021[J].Chin J Dis Control Prev,2024,28(3):249-255.(in Chinese)
[7] 俞梅华,丁晶莹.2014—2020年浙江省湖州市伤害死亡变化趋势及潜在寿命损失[J].疾病监测,2022,37(2):257-261.
YU M H,DING J Y.Incidence trend and potential life loss of injury death in Huzhou,Zhejiang,2014-2020[J].Dis Surveill,2022,37(2):257-261.(in Chinese)
[8] 姜宪尘,徐冰俊,来时明,等.2010—2021年浙江省衢州市居民伤害死亡流行特征分析[J].实用预防医学,2023,30(8):944-948.
JIANG X C,XU B J,LAI S M,et al.Epidemiological characteristics of injury-induced deaths among residents in Quzhou City,Zhejiang Province,2010-2021[J].Pract Prev Med,2023,30(8):944-948.(in Chinese)
[9] 林启,周晶耀,潘松涛.2009—2015年浙江省舟山市居民伤害死亡特征分析[J].疾病监测,2017,32(1):66-70.
LIN Q,ZHOU J Y,PAN S T.Epidemiological characteristics of injury deaths in residents in Zhoushan,Zhejiang,2009-2015[J].Dis Surveill,2017,32(1):66-70.(in Chinese)
[10] 蔡统利,柴文杰,乔冬菊,等.台州市伤害死亡流行特征分析[J].预防医学,2019,31(2):144-147.
CAI T L,CHAI W J,QIAO D J,et al.Epidemiological characteristics of injury deaths in Taizhou City[J].China Prev Med J,2019,31(2):144-147.(in Chinese)
[11] 戴萌娜,袭燕,尹文强,等.中国0~14岁儿童1990—2019年溺水死亡现状及趋势分析[J].中国学校卫生,2022,43(2):256-259,264.
DAI M N,XI Y,YIN W Q,et al.Incidence,mortality and trends of drowning among children aged 0-14 years in China,1990-2019[J].Chin J Sch Health,2022,43(2):256-259,264.(in Chinese)
[12] 俞梅华,丁晶莹.2010—2020年湖州市老年人伤害死亡趋势分析[J].预防医学,2022,34(3):297-301,306.
YU M H,DING J Y.Trends in mortality of injury among the elderly in Huzhou City from 2010 to 2020[J].China Prev Med J,2022,34(3):297-301,306.(in Chinese)
[13] COLON-EMERIC C S,MCDERNOTT C L,LEE D S,et al.Risk assessment and prevention of falls in older community-dwelling adults:a review[J/OL].JAMA,2024[2025-11-24] .https://doi.org/10.1001/jama.2024.1416. |
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